. Gender modulates activation of renin-angiotensin and endothelin systems in hypertension and heart failure. J Appl Physiol 92: 935-940, 2002. First published October 19, 2001 10.1152/ japplphysiol.00558.2001.-Sexual dimorphism may occur during the development of hypertension and congestive heart failure (CHF). Male and female spontaneous hypertension heart failure (SHHF) rats with established hypertension, but before CHF (age 5-8 mo) and during cardiac decompensation leading to CHF (age 18-20 mo in male rats and 22-24 mo in female rats), were studied. At 5-8 mo, male SHHF rats showed early activation of the renin-angiotensin system (RAS), as indicated by increased plasma renin activity (PRA) and higher serum angiotensin-converting enzyme activity compared with female rats. The increase in PRA in female rats was delayed compared with males rats, but it reached comparable levels just before CHF. Urinary endothelin excretion was significantly greater in 5-to 8-mo-old female rats compared with age-matched male rats. Urinary endothelin excretion increased in both male and female rats as CHF developed. Plasma atrial natriuretic peptide (ANP) was comparable at both time points, and both genders showed similar, marked increases as CHF developed. In conclusion, male rats show early activation of the RAS, whereas female rats show early activation of the endothelin vasopressor system. During cardiac decompensation, generalized activation of the RAS, endothelin, and ANP systems occurs and is similar in male and female SHHF rats. plasma renin activity; atrial natriuretic peptide; spontaneous hypertension heart failure HYPERTENSION IS AN IMPORTANT risk factor for the development of congestive heart failure (CHF). Development of hypertension and CHF is associated with activation of multiple neuroendocrine systems, including the renin-angiotensin (RAS), endothelin, and atrial natriuretic peptide (ANP) systems (3,9,18,33). However, various demographic factors such as age, race, and gender have been implicated in modulating the pattern of vasoconstrictor and vasodilator activation observed in an individual and may influence the importance of a neurohumoral system in the pathophysiology of cardiac hypertrophy and decompensation (35). Many studies have implicated sex hormones as modulators of risk factors for cardiovascular disease (7). In humans, men tend to develop hypertension and subsequent heart failure at an earlier age compared with women (1, 16). Onset of cardiovascular disease in women is frequently delayed until after menopause (7,23). Still, the role of sex hormones in the development and control of hypertension and subsequent heart failure remains controversial. Sexual dimorphism in the pattern of neurohumoral activation may have consequences on the rate of cardiac remodeling and decompensation, as well as on response to therapy (6,26,27,30) and survival (1).The spontaneous hypertensive heart failure rat (SHHF/Mcc-fa cp or SHHF) is a multifactoral, genetic model of hypertension and CHF. Despite a similar genetic predi...